TIME: 4:00 pm to 8:00 pm. LOCATION: Boardroom 2E51 - MUMC BOARD OF DIRECTORS. 2.1 Minutes of the Meeting of November 26, 2015

Transcription

1 4:00-4:10 (10 mins) 1. Opening BOARD OF DIRECTORS 1.1 Quorum 1.2 Declarations of Conflict of Interest 1.3 Approval of the Agenda 2. Approval of Minutes 2.1 Minutes of the Meeting of November 26, 2015 COMMITTEE REPORTS 4:10-4:55 (45 mins) 3. Patients First Report 3.1 Presentation by Donna Cripps, CEO, HNHB LHIN 3.2 Report BD-001 Patients First Report Response to the Ministry 4:55-5:00 (5 mins) 4. Compensation Committee January 12, Decision Items Review Terms of Reference THAT the Board of Directors approves the Compensation Committee Terms of Reference as attached in Appendix A Approval of Work Plan THAT the Board of Directors approves the Compensation Committee 2016 Work Plan attached as Appendix A; AND THAT an additional Compensation Committee meeting be scheduled in March to review the 2016/17 CEO s goals for finalizing at the April 2016 meeting; AND THAT an Executive Committee meeting be scheduled in April to deal with the formal evaluation process of the Chair, Medical Advisory Committee. Page 1 of 6 February 25, 2016

2 5:00-5:20 (20 mins) 5. Quality Committee January 21, Draft Quality Committee Minutes January 21, Consent Items 5.3 Decision Items Education Session - Hospital Standardized Mortality Ratio Quality Monitor FY 15/16 Q Quality Improvement Plan Update Q2 2015/ Annual Review Credentials Process Critical Incident Reports Critical Incident Aggregate Q1 & Hospital Harm Indicator (Verbal Update) CQI Article Dr. John Toussaint (Carried over from November 2015 meeting) /17 Quality Improvement Planning Update THAT the Board of Directors approves the proposed indicators and targets for the Quality Improvement Plan (QIP) as outlined in this report. AND THAT staff be directed to provide the final Quality Improvement Plan, including an action plan, for approval at the March Board of Directors meeting. Presentation: HHS ALC Plan THAT the Board of Directors receives the report titled Hamilton Health Sciences Acute ALC Reduction Plan 2015; AND THAT the Board of Directors directs management to conduct a business case analysis of the strategies contained in this report together with an operational plan; AND THAT staff report back to the Board with proposed targets for F16/17 and F17/18 at the March Board meeting. Richard Koroscil Page 2 of 6 February 25, 2016

3 5:20-5:50 (30 mins) 6. Performance Monitoring Committee February 9, Draft Performance Monitoring Committee Minutes February 9, Consent Items 6.3 Decision Items Q3 Corporate Dashboard Review Our Healthy Future Q3 Stakeholder Relations Update Health Information Technology Services Strategic Direction Physician Engagement Update Strategic Plan Objectives Q3 Report HITS Dashboard Presentation: Our Healthy Future Clinical Vision Statement THAT the Board of Directors accepts for information the Clinical Vision Statement (Appendix A) and the KPMG Clinical Vision Report (Appendix B) as the first draft of the Master Program; AND THAT these documents be used for further consultation and refinement leading to a final Master Program Our Healthy Future Emerging Clinical Services for WLMH THAT the Board of Directors receives for information the report entitled Emerging Clinical Services Directions for West Lincoln Memorial Hospital; AND THAT the Emerging Clinical Services Directions for West Lincoln Memorial Hospital be used for further consultation and refinement leading to a final Master Program Page 3 of 6 February 25, 2016

4 5:50-6:20 (30 mins) 7 Finance Committee February 11, Draft Finance Committee Minutes of February 11, Consent Items Procurement Policy and Contract Review Q Contracts for Approval i. Asbestos Abatement Contract ii. Hamilton General Fire Alarm Upgrade Contract Investment and Compliance Report FY 16/17 M-SAA Quarterly Operating Results, Q Healthcare of Ontario Pension Plan (HOOPP) and Post- Recruitment Benefits Liability Overview 7.3 Decision Items FY 16/17 M-SAA THAT the Board of Directors approves the CAPS (Community Accountability Planning Submission) and Multi-Sector Service Accountability Agreement (MSAA) 2016/17 Update; AND THAT the Board authorizes the Board Chair and CEO to execute the agreement. Scott Maki Presentation FY 16/17 Annual Business Plan / H-SAA THAT the Board of Directors approves the final 2016/17 Hospital Accountability Planning Submission (HAPS); AND THAT the Board of Directors approves the corresponding Operating Budget; AND THAT the Board authorizes execution of the Hospital Service Accountability Agreement (H-SAA) for fiscal 16/17, provided the final agreement is materially consistent with expected financial and performance obligations. Page 4 of 6 February 25, 2016

5 6:20-6:40 (20 mins) 8 Governance Committee- February 17, Draft Governance Committee Minutes of February 17, Decision Items WLMH Community Advisory Committee Review Mandate THAT the Board of Directors receives for information Report No GC- 001 West Lincoln Memorial Hospital Community Advisory Committee Mandate. AND THAT no changes to the WLMH CAC Mandate are recommended by the Governance Committee prior to the completion of the redevelopment of the WLMH Comprehensive review of the HHS Administrative and Professional Staff By-law THAT the Board of Directors directs the General Counsel (Interim) to prepare a new HHS Corporate By-law and a new HHS Professional Staff By-law generally based on provisions contained in HHS By-law 3 with non-substantive revisions necessary for clarity and consistency and for compliance with applicable legislation and the HHS corporate management structure; AND THAT the Board directs that the process provided for in Article 25 of HHS By-law 3 be followed as to the proposed new HHS By-laws prior to submission of the proposed new HHS By-laws to the Board for approval Director Education and Training THAT the Board of Directors receives for information Report No GC- 003 Director Education and Training. AND THAT management be directed to produce a semi-annual report and develop a process to track Board member attendance at education sessions, educational topics and budget performance (process subject to Committee Chair approval); AND THAT staff be directed to post educational materials received by Board Members (subject to requisite permissions) on the Board Portal for reference by other Board members. Terry Shields Page 5 of 6 February 25, 2016

6 8.2.4 Evaluation on Directors Standing for Re-election THAT the Board of Directors receives for information Report No GC- 004 Evaluation on Directors Standing for Re-election; AND THAT the Governance Committee initiates the self and peer assessment surveys as required pursuant to Board Policy 1.23 Nomination Process Policy; AND THAT the Governance Committee approves the use of the current Board Member End of Year Performance Evaluation tool attached as Appendix A for the assessment of board members seeking re-election to the Board; AND THAT Mary Catherine Lindberg, Julia Kamula and Kurt Whitnell be asked to complete the self assessment portion of the tool by April 18, 2016 and to submit responses to the Chair of the Governance Committee; AND THAT a summary report be prepared by the Chair for the May 18th Governance Committee meeting for consideration as part of the recommended slate of nominations for election at the annual meeting. 6:40-6:50 (10 mins) 9 Reports of the Medical Advisory Committee 9.1 MAC Board Report December 9, MAC Board Report - January 13, 2016 Dr. Paul Miller NEW BUSINESS 6:50-7:00 (10mins) 7:00-7:20 ( 20 mins) 10. CEO s Report 11. HHS Foundation Update 12. WLMH CAC Report to the Board January Matters for Consideration and Generative Discussion 13.1 Response to LHIN and MOHLTC Patients First Rob MacIsaac 7: Motion to move to In Camera Session Page 6 of 6 February 25, 2016